197606651-5-1-2025-28-AS-WSHO-DGEM7C-20250506092119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606651
Report Date: 05/01/2025
Date Signed: 05/01/2025 01:36:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2025 and conducted by Evaluator Elizabeth Irra

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250424095324

FACILITY NAME:	LAKEWOOD GARDENS		FACILITY NUMBER:	197606651
ADMINISTRATOR:	MARIE JEENE R DE CASTRO		FACILITY TYPE:	740
ADDRESS:	12055 S. LAKEWOOD BLVD.		TELEPHONE:	(562) 869-4038
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	150	CENSUS: 89	DATE:	05/01/2025
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Jeenne De Castro/S-1		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Staff physically assaulted resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Irra conducted a complaint visit to investigate the above allegation. LPA met with Jeenne De Castro/S-1 and discussed the purpose of today’s visit.

During today’s visit, LPA obtained a copy of the resident and staff rosters, staff contact information, reviewed R-1’s file and obtained relevant documentation, interviewed Staff #1 (S-1) through Staff #5 (S-5) and interviewed Resident #1 (R-1) through Resident #7 (R-7). LPA left a message for Staff #6 (S-6) for a return call. LPA also attempted to interview Resident #8 (R-8) and was unsuccessful.

Refer to LIC 9099C for the continuation of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tony Vasallo	TELEPHONE: (323) 981-3977
LICENSING EVALUATOR NAME: Elizabeth Irra	TELEPHONE: (323) 981-3979
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250424095324

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LAKEWOOD GARDENS	FACILITY NUMBER: 197606651
	VISIT DATE: 05/01/2025

NARRATIVE

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Allegation: Staff physically assaulted resident. It has been alleged that a staff member (unknown) “punched” R-1 on R-1’s face. Staff interviews revealed that staff do not physically assault/hit any residents. Interviewed staff indicated that they have not received reports from other residents pertaining to staff allegedly hitting residents. Interviewed staff indicated that they have not witnessed any staff hitting any residents. Interviewed staff also reported that R-1 was not observed to have any signs of bruising, discoloration, swelling or scratches. Staff interviews revealed that they are trained in mandated reporting and resident rights. Resident interviews revealed that staff do not physically assault/hit residents. Interviewed residents indicated that staff are nice, treat them well and are respectful. Interviewed residents indicated that they feel safe and comfortable residing at this facility. Resident interviews revealed that they have not witnessed any staff hitting anyone. Interviews do not corroborate this allegation.

Based upon interviews and records reviewed, the findings indicate that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of the report and appeal right was provided to Jeenne De Castro.

SUPERVISOR'S NAME: Tony Vasallo	TELEPHONE: (323) 981-3977
LICENSING EVALUATOR NAME: Elizabeth Irra	TELEPHONE: (323) 981-3979
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

LIC9099 (FAS) - (06/04)

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